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Organization

NEUROPHYS SOLUTIONS

Active
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Organization

NEUROPHYS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY LEWIS BBUS MGMT (DIRECTOR OF OPERATIONS)
(667) 240-3043
Entity
Organization

Contact information

Practice address
11018 WOOD ELVES WAY, COLUMBIA, MD 21044-1004
(667) 240-3043
Mailing address
11018 WOOD ELVES WAY, COLUMBIA, MD 21044-1004
(667) 240-3043

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2084N0400X
Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
Primary
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2084V0102X
Vascular Neurology Physician
246ZE0500X
EEG Specialist/Technologist
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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